青少年椎间盘发育异常与背痛
Adolescent disc dysplasia and back pain.
作者信息
Anakwenze Okechukwu A, Kancherla Vamsi, Rendon Norma, Drummond Denis S
出版信息
J Child Orthop. 2011 Feb;5(1):49-53. doi: 10.1007/s11832-010-0302-6. Epub 2010 Nov 15.
Abstract
PURPOSE
Adolescent disc dysplasia can be a cause of significant back pain and functional impairment in patients. We present a case series of patients inflicted with adolescent disc dysplasia (ADD).
METHODS
A retrospective search was performed identifying patients presenting with ADD. Radiographic studies and advanced imaging were described. We documented presenting symptoms and clinical course.
RESULTS
Six patients were identified. All patients presented with mechanical back pain, which worsened with flexion and extension. Magnetic resonance imaging was most accurate imaging modality.
CONCLUSION
Among our patient cohort, treatment for adolescent disc dysplasia consisted of a combination of physical therapy and bracing. Neither approach proved to be very effective, with only one patient asymptomatic at follow-up.
摘要
目的
青少年椎间盘发育异常可能是患者严重背痛和功能障碍的一个原因。我们报告一组青少年椎间盘发育异常（ADD）患者的病例系列。
方法
进行回顾性研究以确定患有ADD的患者。描述了影像学检查和高级成像。我们记录了患者的症状表现和临床病程。
结果
共确定6例患者。所有患者均表现为机械性背痛，屈伸时疼痛加重。磁共振成像（MRI）是最准确的成像方式。
结论
在我们的患者队列中，青少年椎间盘发育异常的治疗包括物理治疗和支具治疗相结合。两种方法都证明效果不佳，随访时只有1例患者无症状。
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